Home
Lab Name:
Address Line 1:
Address Line 2:
Date of Service:
Last Name:
First Name:
Date of Birth:
MRN:
Upper Extremity Vein Mapping
Indication:
Ordering Provider:
Technologist:
Pertinent History:
Technique
The upper extremity veins were evaluated from the bilateral shoulders through the level of the bilateral wrists with high frequency medical ultrasound. Images and waveforms were recorded.
Findings
Right
Left
B-mode Measurements
Prox UA Ceph:
mm
Mid UA Ceph:
mm
Dist UA Ceph:
mm
Prox FA Ceph:
mm
Mid FA Ceph:
mm
Dist FA Ceph:
mm
Prox UA Bas:
mm
Mid UA Bas:
mm
Dist UA Bas:
mm
Prox FA Bas:
mm
Mid FA Bas:
mm
Dist FA Bas:
mm
Prox UA Ceph:
mm
Mid UA Ceph:
mm
Dist UA Ceph:
mm
Prox FA Ceph:
mm
Mid FA Ceph:
mm
Dist FA Ceph:
mm
Prox UA Bas:
mm
Mid UA Bas:
mm
Dist UA Bas:
mm
Prox FA Bas:
mm
Mid FA Bas:
mm
Dist FA Bas:
mm
Impression
Right
Left
Upper Arm Ceph V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Forarm Ceph V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Basilic V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Upper Arm Ceph V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Forarm Ceph V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Basilic V:
Segment is suitable for fistula creation
NOT suitable for fistula creation
See comments
Comparison to Prior Exam
No prior study available for comparison
No change since prior study
Findings are worse than on the prior study
Findings are improved since the prior study
Recommendation
No follow up required
Follow up with repeat ultrasound in 1 year
Follow up with repeat ultrasound in 6 months
Follow up with vascular consultation
Comments